MARY JO POLLOCK (CNS) – Psychiatric/Mental Health Nurse Practitioner, NPI 1790865681
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
228 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in OH
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Provider Addresses for MARY JO POLLOCK (CNS)
4075, Old Western Row Road, Mason, Warren County, Ohio, 45040, United States
MASON, OH 450403104
Phone: (513) 536-0600
Fax: (513) 536-0619
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $124.
Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($124).
Total Amount
$124
General + Research + Ownership
Payments
1
Total payment records
General Amount
$124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $124 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-01-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050104000477 | I | Certified Clinical Nurse Specialist (Cns) | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 59 | 17 | $0 |
Insurance plans in this area (ZIP 45040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | OH | |
| Clinical Social Worker | OH | |
| Mental Health Counselor | OH | |
| Mental Health Counselor | OH | |
| Nurse Practitioner | OH | |
| Mental Health Counselor | OH | |
| - | IL | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | OH | |
| Mental Health Counselor | OH |
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